Joshua J Bailin, M.D.
Individual provider Active NPI Nephrology Physician · Atlantis, FL
NPI 1528059177 · NPPES record last updated Nov 9, 2012
Key facts
- NPI
- 1528059177
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- ME50623 (FL)
- Practice address
- 5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6625 - Phone
- (561) 965-7228
- Fax
- (561) 965-5889
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50623 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio-Medical Applications of Florida, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME50623 | FL | |
| Nephrology Physician | 207RN0300X | ME50623 | FL | Yes |
Addresses
Primary practice location
5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6625
Mailing address
5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6625
Phone (561) 965-7228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045845700 | Medicaid | FL | |
| 390001874 | Other | FL | RR MEDICARE |
Other providers in Atlantis, FL
- Pedram Babadi
- Stuart Jon Bagatell
- Shannon May Bagnell
- Heidi Bahna
- Trevor Levere Bailey
- Rebecca Bailitz
- Jessica Elizabeth Baken
- Marat Bakman
- Alan E Bakst
- Siddharth Balaji
All providers in Atlantis, FL · Nephrology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.